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Role of Social Determinants in Glycemic Control of Type 2 Diabetic Subjects

Author Affiliations

  • 1Department of Community Medicine, Basaveshwara Medical College and Hospital, Chitradurga-577502, INDIA
  • 2 Department of Medicine, Basaveshwara Medical College and Hospital, Chitradurga-577502, INDIA

Int. Res. J. Medical Sci., Volume 2, Issue (4), Pages 2-6, April,28 (2014)


The increasing prevalence of type 2 diabetes rooting a major social and economic burden in the world especially in developing countries like India. To identify and address the role of Social Determinants in glycemic control of type 2 diabetic subjects. A community based cross-sectional study was conducted in urban field practice area of Chitradurga. Considering the prevalence of diabetes 12% with 95% confidence level and 5% of absolute precision the calculated sample was 165. House to house survey was done to get the adequate sample size. Data regarding socio-demographic factors like religion, marital status, literacy, occupation, socioeconomic status. Other factors like BMI, duration of diabetes, type of treatment HbA1C levels, and causes for poor glycemic control was collected by using pre-designed, pre-structured questionnaire. Data was analysed using SPSS (version 18). Multivariate ANOVA was used to study the factors affecting poor glycemic control. Most of the subjects were married females, aged between 40 to 70 years and belonged to lower middle class (42%). Almost 67% had a poor glycemic control, as indicated by HbA1c levels (7%). The factors which were significantly associated with a poor glycemic control were literacy (p0.05), duration of the disease (p0.05), worries (p0.05), lack of awareness (p0.05), where as BMI (p&


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